1. Environmental Services Department Wake County, North Carolina Andre C. Pierce Wake County Environmental Services Division of Environmental Health and Safety

2. Environmental Services Department Wake County, North Carolina Wake 2010 Baseline Survey Background Process Results

3. Environmental Services Department Wake County, North Carolina Background Size: 857 square miles Population: 940,122 Regulated facilities: 3,000 Staff: 20 County based system Wake County, NC

4. Environmental Services Department Wake County, North Carolina Background February 2008-enrolled June 2009-self assessment June 2009-Standard 7 September 2010-Standard 5 September 2010-Standard 9 FDA Program Standards

5. Environmental Services Department Wake County, North Carolina

6. Environmental Services Department Wake County, North Carolina Process Getting Started Data Collection Manual Developing the sample list Data Collection Form Marking Instructions Reference Sheet 2009 Food Code

7. Environmental Services Department Wake County, North Carolina Process Survey Team Selecting the team Not the routine inspector

8. Environmental Services Department Wake County, North Carolina Process Staff Training Classroom Site visits with each group FDA Retail Food Specialist Monday meetings Emails

9. Environmental Services Department Wake County, North Carolina Process Conducting the survey Grouped by facility type Geographical proximity Meetings Deadlines

10. Environmental Services Department Wake County, North Carolina Process Quality Assurance Peer review Review Data entry Review Strength of our study

11. Environmental Services Department Wake County, North Carolina Process Challenges NC vs. FDA Food Code Datemarking Employee health Momentum Lack of confidence Quality of data

12. Environmental Services Department Wake County, North Carolina Results

13. Environmental Services Department Wake County, North Carolina Results Individual items Individual Data Item from the baseline survey Risk Factor Category Percent OUT of compliance with 2009 Food Code Employee health policyPoor personal hygiene90% (item 17a) Datemarking ready-to-eat PHF Improper holding/time and temperature 42% (item 10a) 56% (item 10b) 56% (item 10c) Cold Holding at 41°F Improper holding/time and temperature 52% (item 9a) Proper cooling procedure for cooked foods Improper holding/time and temperature 35% (item 7a)

14. Environmental Services Department Wake County, North Carolina Results Priority Risk Factors Risk FactorItem Improper holding/time and temperature Improper Cold Holding (41° F) Datemarking Poor personal hygiene Health policy Improper handwashing

15. Environmental Services Department Wake County, North Carolina Percent IN Compliance 2010 Wake County Baseline FDA 2003 study FDA 2008 study InstitutionsHospital86%80%81% Nursing Home 81%80%83% Elementary School 83% 84% RestaurantsFast Food72%74%78% Full Service67%62%64% Retail Store Departments Deli80%70%74% Meat and Poultry 82%80%88% Produce79% 86% Seafood82%80%84%

16. Environmental Services Department Wake County, North Carolina Results Recommendations Food Code (2012) Target education Program Standards

17. Environmental Services Department Wake County, North Carolina

18. Environmental Services Department Wake County, North Carolina Results Showtime! Positive spin to our community Buy-in from industry News release